Direct operational accountability for billing and follow-up for multiple service lines of business across Swedish acute ministries.
Oversee billing and collections for assigned payers across hospitals, critical access hospitals, rural health clinics, provider-based clinics, and professional fee billing.
Manage denial management, reporting, and reimbursement recovery activities.
Support specialty service lines including Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements.
Assist in developing and executing strategic plans to accomplish goals for commercial, other government and specialty service lines, in partnership with Providence RCS Services leaders.
Supervise and coordinate workflows, ensure regulatory compliance (CAH, SNF, RHC, provider-based rules), and drive revenue-cycle improvements.
Requirements
Bachelor’s Degree in Business, Healthcare Management, or related field --or-- equivalent education and experience
Demonstrated experience in managing all aspects of billing follow-up, denial management – reporting and reimbursement recovery
Experience with patient accounting, third-party payor billing and EDI billing in a business office that supports a multiple hospital healthcare system
Experience with Critical Access Hospital (CAH) billing and collections and CAH regulatory guidelines
Knowledge of Swing bed rules, SNF billing rules and follow-up processes, SNF consolidated billing rules
Knowledge of Rural Health Clinic rules and Provider Based Clinic rules in a CAH setting
Experience with Professional fee billing in clinical and Acute Hospital settings
Knowledge of Medicaid TAD claim submission rules, CAH Method I and Method II Billing rules, CRNA Pass Through Exemption
Demonstrated experience with specialty service lines including Clients, Third Party Liability, Behavioral Health, Research, and Global/Bundle arrangements
Preferred: 4 years related experience in healthcare, revenue cycle or finance
Preferred: 3 years leadership experience
Preferred: Epic experience
Preferred: Experience with Reference Lab Billing rules
Benefits
The amounts listed are the base pay range; additional compensation may be available such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching.
Health care benefits (medical, dental, vision).
Life insurance.
Disability insurance.
Time off benefits (paid parental leave, vacations, holidays, health issues).
Voluntary benefits.
Well-being resources.
Best-in-class benefits designed to support you and your family.
Applicant Tracking System Keywords
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